| NPI | 1275626483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60119542) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05008954A) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2010-06-03 |